First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Cell Phone*

Age of Applicant (MUST BE OVER 18)*

What is your current employment/occupation?*

Employer/Occupation of Applicant*

How many people reside in your household?*

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you have a fenced yard?*

Do you own or rent your home?*

If rent, name of landlord or rental company (if own, put N/A):*

If rent, email address of landlord or rental company (if own, put N/A):*

If rent, phone number of landlord or rental company (if own, put N/A):*

Does your lease or homeowner's association restrict pet ownership?*

Do you live with parents?*

Do you live in college dormitory?*

Homeowner/Renter Insurance Company*

Approximately how many hours a day will the cat be alone?*

What animals currently live in your household? (Please list type of animal, sex, age and how long you have owned them)*

What pets have you had in the past? (Please list type of animal, how long owned and what happened to the pet)*

Have you fostered adult cats before?*

Have you fostered kittens before? If so, what age ranges?

What type of cats are you interested in fostering?

Do you have any time constraints for fostering?*

Do you have your own reliable transportation?*

Do you have a separate room available to quarantine foster animals for at least two weeks?*

Veterinarian's Name and Phone Number (please list your current vet first followed by any previous vets or vets that have vaccine records on file)*

List three references, relationship to you, how long you have known them, along with their contact number (please number them 1-2-3). Please make sure at least one reference is NOT a family member.*

How would you like us to contact you?

How did you hear about us?*

All the information I have provided is true and complete to the best of my knowledge. Should a cat be placed with me, it will reside in my home as a pet. I agree to provide humane care and maintenance such as food, water, litter, shelter, affection and veterinary care through the rescue. I agree to allow Ark of Redemption to retain my information for their records.*